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General NPI Number Information
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NPI Number | 1740462985
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Entity Type | Organization
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Legal Business Name | JOSEPHINE DEPALMA DPM
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 5735 RIDGE AVE SUITE 210
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1745
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Country | US
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Telephone | 215-483-9610
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Fax | 215-483-9679
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Provider Business Mailing Address
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Address Line | 226 W RITTENHOUSE SQ APT 2408
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5768
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Country | US
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Telephone | 215-483-9610
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Fax | 215-483-9679
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Authorized Official
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Title or Position | DOCTOR
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Name | JOSEPHINE DEPALMA
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Credential | DPM
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Telephone | 215-483-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC002712L
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License Number State | PA
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